| NPI | 1700046257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A PLANT Doctor 208-734-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: ID D3129OS) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |